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NREMR Prep - Questions And Accurate Solutions
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NREMR Prep - Questions And Accurate Solutions
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NREMR Prep - Questions And Accurate SolutionsWho can never grant/deny their own consent? Right Ans - Minors,
prisoners, severe mental handicap
What is needed as a valid DNR? Which forms are not valid? Right Ans -
NOT: bracelet, tattoo
ARE: paper that's intact, up to date, and not damaged
Which situations must you report to PD? Right Ans - Weapon violence
Child or elder abuse
Rape
Domestic abuse
Define medical director Right Ans - administrator with legislative authority
over responsibility for system standards/protocol evaluation + care of
patients
Define medical oversight Right Ans - evaluates medical acre as it relates to
patient outcomes, training, and medical direction
Scope of practice vs standard of care Right Ans - SOP: what we are allowed
to do by level of training
SOC: what must be done for a patient in a certain situation (policies)
Informed consent includes all of these parts Right Ans - introduction
(name/affiliation)
level of training
why you are here/want to help
what you plan to do
cost/benefit discussion
Upper airway includes Right Ans - nose
mouth
pharynx
larynx (vocal cords)
Lower airway includes Right Ans - trachea
bronchi
,bronchioles
alveoli
Respirations are controlled by the ________ _______ system Right Ans -
autonomic nervous system
Where are the vocal cords housed? Right Ans - larynx (upper airway)
autonomic nervous system is the ... Right Ans - part of peripheral NS that
controls involuntary processes like HR/RR/salivation/digestion/perspiration.
it has two parts
Sympathetic: fight or flight
Parasympathetic: rest + digest
Epidermis is which layer of the skin? Right Ans - outermost layer of skin
What does the epidermis contain Right Ans - thin skin
nerve fingers coming up
What does the dermis contain? Right Ans - thick layer (strength/elasticity)
blood vessels
hair folicles
glands
nerves (base)
SubQ fat
Lifespan development ages
Neonate
Infant
toddler
preschool
school aged
adolescent
adult Right Ans - Neonate 0-28d
Infant 1mo-1yr
toddler 1-3yr
preschool 4-5yr
school aged 6-12yr
adolescent 13-17yr
, adult 18+
What does the diaphragm do upon breathing Right Ans - diaphragm
contacts (pulls down)
Respirations are controlled by the ____, which acts on the ____ Right Ans -
medulla ; diaphragm
Fast HR in kids should be considered _____ until proven otherwise Right
Ans - shock
Backboard patients with... Right Ans - blunt trauma
high MOI
nerve complaint
spinal/back deformity
altered LOC or unconscious
distracting injuries (impalements, amputations, big bone fractures)
Normal RR in adult Right Ans - 12-20 breaths/min
Normal RR in a child Right Ans - 18-35
Normal RR in an infant Right Ans - 24-40
The epiglottis covers the ____ when we swallow to prevent aspiration Right
Ans - larynx
Bagging a kid during a code is ___/min Right Ans - 2 breaths every 15
compressions (team rescue)
OR
2 breaths every 30 compressions (single rescuer)
For spinal patients, check airway patency and use a ___________ to open. If it
doesn't work, you must do _______ Right Ans - jaw thrust
a head-tilt/chin lift or emergency move if unable
Signs of upper airway obstruction
Signs of lower airway obstruction Right Ans - gurgling/snoring
stridor/wheezing
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